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General NPI Number Information
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NPI Number | 1730436494
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Entity Type | Individual
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Provider Name | SINDHURA UPPALAPATI DDS
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Gender | Female
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Dates
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Enumeration Date | 08/12/2012
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 14904 JEFFERSON DAVIS HWY STE 304
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone | 703-910-4805
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Fax | 703-910-7436
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Provider Business Mailing Address
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Address Line | 11622 VERNA DR
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City | OAKTON
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State | VA
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Zip | 22124-2045
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Country | US
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Telephone | 703-910-4805
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Fax | 703-910-7436
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15186
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401413727
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License Number State | VA
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